Organization
KARA M. SMITH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA SMITH LPC (MENTAL HEALTH THERAPIST)
(580) 382-5772
Entity
Organization
Contact information
Practice address
425 FAIRVIEW AVE, SUITE 1, PONCA CITY, OK 74601-1902
(580) 382-5772
(580) 382-5731
Mailing address
425 FAIRVIEW AVE, SUITE 1, PONCA CITY, OK 74601-1902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5884
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200580780A
—
OK
Enumeration date
01/04/2016
Last updated
01/04/2016
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